HomeMy WebLinkAbout218095 03/13/2013 qua CITY OF CARMEL, INDIANA VENDOR: 366858 Page 1 of 1
ONE CIVIC SQUARE INDIAN SPRINGS MFG CO
CARMEL, INDIANA 46032 PO Box 469 CHECK AMOUNT: $8,991.42
2095 W GENESEE RD CHECK NUMBER: 218095
BALDWINSVILLE NY 13027
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 6029 8, 991 .42 OTHER EXPENSES
Indian Springs Mfg. Co., Inc.
P.O. Box 469
2095 W Genesee Rd
Baldwinsville, NY 13027
• �, r ., _:_ United States of America
N AN U F A C F U I NC Ph: 315-635-6101
Fax: 315-635-7473
Invoice
Number: 6029 Date: 26-Feb-13
To Ship To
City of Carmel City of Carmel
Water Utilities Water Utilities
3450 West 131 st St 3450 West 131st St
Carmel, IN 46074 Carmel, IN 46074
United States of America United States of America
Due Date ; Ship Via Salesperson;
Net 30 Days 28-Mar-13 UPS Freight
.Quantity, ":: Description Unit Price Amount-
2 C.I. Emergency Kit"A" $2,225.00 $4,450.00
ea Chlorine Institute Emergency Kit"A"for 100&150 lbs. Chlorine Cylinders US DOT
3AA480, 18"x 18.5"x 36" 120 lbs.
Packing List: 3081 Shipped On: 26-Feb-13
Part: KIT-A
PO:JA011113A Ln:001 SO: 7203
2 C.I. Emergency Kit"B" $2,200.00 $4,400.00
ea Chlorine Institute Emergency Kit"B"for CL2 Ton Containers US DOT 106A500X,
18"x1 8"x36", 116 lbs.
Packing List: 3081 Shipped On: 26-Feb-13
Part: KIT-B
PO:JA011113A Ln:002 SO: 7203
UPS Freiqht $141.42
Invoice Total: $8,991.42
Amount Paid: $0.00
Amount Due: $8,991.42
U.S. Dollars
Page 1 of 1
VOUCHER # 131051 WARRANT # ALLOWED
366858 IN SUM OF $
INDIAN SPRINGS MFG N
PO BOX 469
2095 W GENSEE RD
BALDWINSVILLE, NY 13027
Carmel Water Utility 1
ON ACCOUNT OF APPROPRIATION FOR
Board members
1
PO # INV# ACCT# AMOUNT ! Audit Trail Code
i
6029 01-6-265$4 $8,991.42
.D G('09, C C-
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Voucher Total $8,991.42
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366858
INDIAN SPRINGS MFG Purchase Order No.
PO BOX 469 Terms
2095 W GENSEE RD Due Date 3/6/2013
BALDWINSVILLE, NY 13027
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2013 6029 $8,991.42
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer